Background: Periodontal diseases are bacterial infections of the gingiva, bone and attachment fibers that support the teeth and hold them in the jaw. α-amylase is an enzyme, produced mainly by parotid gland and it seems to play a role in maintaining mucosal immunity. Aims of the study: Determine the salivary levels of α-Amylase and flow rate and their correlations with clinical periodontal parameters(Plaque Index , Gingival Index , Bleeding on Probing , Probing Pocket Depth , and Clinical Attachment Level ) and the correlation between α-Amylase with flow rate of study groups that consist of ( patients had gingivitis and patients had chronic periodontitis with different severities(mild ,moderate ,severe) and control group . Materials and Methods: Salivary α-Amylase and flow rate levels with clinical periodontal parameters(Plaque Index , Gingival Index , Bleeding on Probing , Probing Pocket Depth , and Clinical Attachment Level ) were measured from 75 males , age ranged (30-45) years old, that divided into study groups(group of 45chronic periodontitis patients with different severities which sub-grouped into (Mild=15, Moderate=15 and Severe=15), group of 15 patients with gingivitis) and control group comprised 15 subjects had clinically healthy periodontium. Results: The levels of salivary α-amylase in patients had chronic periodontitis were the highest followed by patients had gingivitis .Highly significant differences were demonstrated between each pairs of chronic periodontitis subgroups hence, the highest level at severe chronic periodontitis subgroup patients. Flow rate decreased in gingivitis group and chronic periodontitis with its different severities. Highly significant strong positive correlations were found between α-amylase with clinical periodontal parameters at all groups and subgroups.
Conclusions:The findings of the present study suggest that salivary α-Amylase can help to monitor the progression of the periodontal disease.
A
BSTRACT
Aims:
The current study aimed at describing the short-term effect of nonsurgical periodontal treatment on dental anxiety and blood glucose level change among diabetic patients.
Materials and Methods:
One hundred and fifty patients with diabetes participated in a cross-sectional study design. All of them were divided into two groups, with 75 patients in each group. The first group was treated with air scaling, whereas the second group was treated with manual scaling. The determination of treatment needs and the evaluation of periodontal health status were achieved by using Community Periodontal Index for Treatment Need (CPITN). The level of dental anxiety was assessed by using Visual Analogue Scale (VAS). The glucose change was calculated by subtracting the glucose level before treatment from the glucose level straight after treatment.
Results:
No significant difference in glucose level was observed between manual scaling and air scaling after treatment (
P
= 0.076), and the level of glucose was significantly lower after scaling treatment within the treatment groups (
P
= 0.000). The level of glucose change between the groups was significantly lower for the manual scaling treatment group (
P
= 0.013), and it was significantly correlated with VAS (
P
= 0.000). Multiple regression analysis showed a significant association between the treatment groups (
P
= 0.007).
Conclusions:
Scaling reduced blood glucose and dental anxiety levels in patients with diabetes. Manual scaling was associated with reduced glucose level change less than air scaling after treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.